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Improvements in delivering care for adults with diabetes in England have stalled, a report from the National Audit Office shows.1

The auditor’s previous report on diabetes services, published in 2012, showed an improvement in delivering the nine key care processes that the NHS had identified as essential for patients with diabetes.2

However, in the latest report the percentage of registered patients with diabetes who received all nine recommended care processes (except eye screening, now reported separately) remained at the same level of 60%. The report also found considerable geographical variation, as percentages ranged from 30% to 76%.

The percentage of diabetes patients receiving all of the National Institute …